EMPLOYMENT APPLICATION

Application for Employment

Please fill out this pre-employment questionnaire. BCAS is an Equal Opportunity Employer. When completed with this application please hit the submit button at the bottom. If all the required fields are completed, you will see a green message that your app has been submitted. If some required fields are missing, you will have to scroll back and complete those fields.

Are You Applying For A Position at BCAS?

Yes

Personal Information

First and Last Name:

Date:

Permanent Address:

Referred By:

City:

State:

Zip Code:

Phone Number:

Email:

Employment Desired

Position Desired:

Date You Can Start:

Are You Currently Employed:

How Did You Hear About This Position:

Have You Applied with BCAS before?

When:

Have You Worked At BCAS before?

When:

Education History

Name and Location of High School:

Years Attended:

Did You Graduate:

Name and Location of College:

Years Attended:

Did You Graduate:

Name of Trade or Business School:

Years Attended:

Did You Graduate:

Do You Have Any Subjects of Special Study, Research Work, Special Training, Licenses, Certifications, Foreign Languages:

General Information:

Did You Serve In The Armed Forces:

Branch of Service:

Discharge Date and Rank:

Former Employers

List below the last three employers starting with most recent.

Employer 1:

Name of Current or Recent Employer:

Job Title:

Address, City, State and Zip Code:

Phone Number:

Starting Date:

Leaving Date:

May We Contact Them:

Description of Work:

Reason for Leaving:

Employer 2:

Name of Previous Employer:

Job Title:

Address, City, State and Zip Code:

Phone Number:

Start Date:

Leaving Date:

May We Contact Them:

Description of Work:

Reason for Leaving:

Employer 3:

Name of Previous Employer:

Job Title:

Address, City, State and Zip Code:

Phone Number:

Start Date:

Leaving Date:

May We Contact Them:

Description of Work:

Reason for Leaving:

Professional References

Please provide three professional references we can contact.

Reference Name and Business Name:

Phone Number:

Reference Name and Business Name:

Phone Number:

Reference Name and Business Name:

Phone Number:

Authorization

By clicking the submit button below:

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment."

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Signed By:

Address

2520 N 200 E
Hartford City, IN 47348

Contact

Email: bcasadopt@gmail.com
Phone: (765)348-5284

Hours:

Sun: 10:30-12:30 | 4:30-6:30
Mon: 10:30-12:30 | 4:30-6:30
Tue: 10:30-12:30 | 4:30-6:30
Wed: 10:30-12:30 | 4:30-6:30
Thur: 10:30-12:30 | 4:30-6:30
Fri: 10:30-12:30 | 4:30-6:30
Sat: 10:30-12:30 | 4:30-6:30

Above hours are for donation drop offs, pet reclaims or other services.

Adoptions are by appointment only and require an approved application.

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